Nokea
The nurse should implement which safety measures to prevent an electrical shock when using electrical equipment? Select all that apply.
- A. Use a two-prong outlet.
- B. Check the electrical cord for fraying.
- C. Keep the electrical cord away from the sink.
- D. Place the excess electrical cord under a small carpet.
- E. Grasp the electrical cord when unplugging the equipment.
- F. Disconnect the electrical cord from the wall socket when cleaning the equipment.
Correct Answer: B,C,F
Rationale: The nurse needs to implement measures to prevent an electrical shock when using electrical equipment. These measures include using a three-prong plug that is grounded, checking the electrical cord for fraying or other damage, keeping the electrical cord away from the sink or other sources of water, using electrical tape to secure the excess electrical cord to the floor where it will not be stepped on (the cord should not be placed under carpet), grasping the plug (not the electrical cord) when unplugging the equipment, and disconnecting the electrical cord from the wall socket when cleaning the equipment.
You may also like to solve these questions
The nurse is about to administer a prescribed intravenous dose of tobramycin when the client reports vertigo and ringing in the ears. Which action should the nurse take next?
- A. Check the client's pupillary responses.
- B. Hang the dose of medication immediately.
- C. Give a dose of droperidol with the tobramycin.
- D. Hold the dose and call the primary health care provider (HCP).
Correct Answer: D
Rationale: Tobramycin is an antibiotic (aminoglycoside). Ringing in the ears and vertigo are two symptoms that may indicate dysfunction of the eighth cranial nerve. The nurse should hold the dose and notify the HCP. Ototoxicity is a toxic effect of therapy with aminoglycosides and could result in permanent hearing loss. There is no need to check the pupillary response. Administering the dose would be an unsafe response.
The nurse is caring for an adolescent client with a diagnosis of conjunctivitis. Which instruction is most appropriate for the nurse to relate to the adolescent?
- A. Avoid using all eye makeup to prevent possible reinfection.
- B. Apply hot compresses to decrease pain and lessen irritation.
- C. Obtain a new set of contact lenses for use after the infection clears.
- D. Isolate for 3 days after beginning antibiotic eye drops to avoid the spread of infection.
Correct Answer: C
Rationale: Conjunctivitis is inflammation of the conjunctiva. A new set of contact lenses should be obtained. If the client has conjunctivitis, eye makeup should be replaced but can still be worn. Cool compresses decrease pain and irritation. Isolation for 24 hours after antibiotics are initiated is necessary.
The nurse is admitting a 56-year-old client with a diagnosis of exacerbation of chronic obstructive pulmonary disease (COPD) and learns that the client received immunization for pneumococcal pneumonia 6 years ago. Which consideration is essential to include in the plan of care during the client's hospital admission?
- A. Offer revaccination to the client.
- B. Document the previous immunization on the client record.
- C. Instruct the client that this vaccine provides lifelong immunity.
- D. Explain to the client that he can be revaccinated only during the fall months.
Correct Answer: A
Rationale: During the history-taking of a client diagnosed with a respiratory disorder, the nurse should ask if the client had been previously vaccinated for influenza (flu) and had received pneumococcal pneumonia vaccine. Revaccination with pneumococcal pneumonia vaccine is currently advised in a client with COPD if the client received the vaccine more than 5 years previously and if the client was younger than 65 years of age at the time of vaccination. Although documentation would be done, this is not the essential action at this time. This vaccine does not provide lifelong immunity in a 56-year-old client who received the vaccine 6 years ago. The pneumococcal pneumonia vaccine is administered any time during the year.
The nurse is preparing to ambulate a client with a diagnosis of Parkinson's disease who has recently been prescribed levodopa. Which information is most important for the nurse to assess before ambulating the client?
- A. The client's history of falls
- B. Assistive devices used by the client
- C. The client's postural (orthostatic) vital signs
- D. The degree of intention tremors exhibited by the client
Correct Answer: C
Rationale: Clients diagnosed with Parkinson's disease are at risk for postural (orthostatic) hypotension from the disease. This problem is exacerbated with the introduction of levodopa, which can also cause postural hypotension. Although knowledge of the client's risk for falls and the client's use of assistive devices are helpful, it is not the most important piece of assessment data, based on the wording of this question. Clients with Parkinson's disease generally have resting, not intention, tremors.
Which statements describe characteristics of case management? Select all that apply.
- A. A case manager usually does not provide direct care.
- B. Critical pathways and CareMaps are types of case management.
- C. A case manager does not need to be concerned with standards of cost management.
- D. A case manager collaborates with and supervises the care delivered by other staff members.
- E. The evaluation process involves continuous monitoring and analysis of the needs of the client and services provided.
- F. A case manager coordinates a hospitalized client's acute care and follows up with the client after discharge to home.
Correct Answer: A,D,E,F
Rationale: Case management is a care management approach that coordinates health care services to clients and their families while maintaining quality of care and minimizing health care costs. Case managers usually do not provide direct care; instead, they collaborate with and supervise the care delivered by other staff members and actively coordinate client discharge planning. A case manager is usually held accountable for some standard of cost management. A case manager coordinates a hospitalized client's acute care, follows up with the client after discharge to home, and is responsible and accountable for appraising the overall usefulness and effectiveness of the case-managed services. This evaluation process involves continuous monitoring and analysis of the client's needs and services provided. Critical pathways or CareMaps are not types of case management; rather, they are multidisciplinary treatment plans used in a case management delivery system to implement timely interventions in a coordinated care plan.